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Online Relapse Prevention Therapy for Patients With Alcohol Use Disorder

Alcohol Use Disorder

Alcohol use disorder (AUD) is characterized by problematic alcohol use accompanied by clinically significant distress. This disorder is associated with high relapse rates, with one in five patients remaining abstinent 12 months post-treatment. Traditional face-to-face relapse prevention treatment (RPT) is a form of cognitive behavioural therapy that examines one's situational triggers, maladaptive thought processes, self-efficacy, and motivation, however access to this treatment is frequently limited due to its high cost, long waitlists, and inaccessibility. Thus, an online adaptation of RPT (e-RPT) could address these limitations by providing a more cost-effective and accessible delivery method for mental health care in this population. This study aims to establish the first academic e-RPT program to address AUD in the general population. We will recruit adult participants (n = 60) with a confirmed diagnosis of AUD. Then, these participants will be randomly assigned to receive ten sessions of e-RPT or face-to-face RPT. e-RPT will consist of 10 predesigned modules and homework with asynchronous personalized feedback from a therapist. Face-to-face RPT will consist of 10, one-hour long face-to-face sessions with a therapist. The predesigned modules and the face-to-face sessions will present the same content and structure. Self-efficacy, resilience, depressive symptomatology, and alcohol consumption will be measured through various questionnaires at baseline, week 5, and week 10. Outcome data will be assessed using linear and binomial regression (continuous and categorical outcomes respectively). Qualitative data will be analyzed using thematic analysis methods.

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Conditions de participation

  • Sexe:

    ALL

  • Âges admissibles:

    18 to 64

Critères de participation

Inclusion Criteria:

* Diagnosis of mild to moderate AUD according to the DSM-5
* Competence to consent to participate in the study
* Ability to speak and read English
* Consistent and reliable access to the internet
* In contemplation stage of change (according to Readiness for change questionnaire) related to stopping drinking or having stopped consuming alcohol in the past 30 days

Exclusion Criteria:

* Acute hypomanic/manic episodes
* Acute psychosis
* Active substance use disorder classified as moderate or severe according to the DSM-5
* Active suicidal or homicidal ideation
* Untreated clinically significant somatic symptoms or mental disorders (PHQ ≥ 15, GAD-7 ≥ 15)
* Current enrolment in another relapse prevention program
* Men who drink more than four drinks per day or 14 drinks per week and women who drink three drinks per day or seven drinks per week in the past month

Lieu de l'étude

Queen's University Online Psychotherapy lab
Queen's University Online Psychotherapy lab
Kingston, Ontario
Canada

Contactez l'équipe d'étude

Backup Contact

Charmy Patel, MPH

[email protected]
Primary Contact

Nazanin Alavi, MD

[email protected]
Étude parrainée par
Queen's University
Participants recherchés
Plus d'informations
ID de l'étude: NCT05579210